Idiopathic trachyonychia (twenty-nail dystrophy): a pathological study of 23 patients.

  title={Idiopathic trachyonychia (twenty-nail dystrophy): a pathological study of 23 patients.},
  author={Antonella Tosti and Federico Bardazzi and Bianca Maria Piraccini and Pier Alessandro Fanti},
  journal={The British journal of dermatology},
  volume={131 6},
We report the clinical features and pathological findings in 23 patients with idiopathic trachyonychia (twenty-nail dystrophy). Clinically, the nail changes in the majority of patients consisted of the typical 'sandpapered' appearance, with a rough, lustreless nail plate. In some, however, the nail plate abnormality was less severe, with numerous small, superficial pits, which imparted a shiny appearance to the surface of the nail. Histology of nail biopsy specimens showed spongiotic changes in… CONTINUE READING